Eskasoni First Nation's transformation of youth mental healthcare: Partnership between a Mi'kmaq community and the ACCESS Open Minds research project in implementing innovative practice and service evaluation.
Adolescent
Child
Combined Modality Therapy
Community Mental Health Services
/ organization & administration
Community Participation
Female
Health Plan Implementation
/ organization & administration
Health Services Accessibility
/ organization & administration
Health Services Needs and Demand
/ organization & administration
Health Services, Indigenous
/ organization & administration
Humans
Indigenous Peoples
/ psychology
Leadership
Male
Mental Disorders
/ psychology
Nova Scotia
Suicide
/ psychology
Young Adult
Suicide Prevention
Canada
Indigenous community mental health services
community participation
health promotion
suicide
youth mental health
Journal
Early intervention in psychiatry
ISSN: 1751-7893
Titre abrégé: Early Interv Psychiatry
Pays: Australia
ID NLM: 101320027
Informations de publication
Date de publication:
06 2019
06 2019
Historique:
entrez:
28
6
2019
pubmed:
28
6
2019
medline:
18
12
2019
Statut:
ppublish
Résumé
ACCESS Open Minds (ACCESS OM) is a pan-Canadian project aimed at improving youth mental healthcare. This paper describes implementation of the ACCESS OM objectives for youth mental health service transformation within a pre-existing Fish Net Model of transformative youth mental healthcare service in the First Nation community of Eskasoni, on Canada's east coast. We describe an adaptation of the ACCESS OM service transformation objectives through the complementary blending of Indigenous and Western methodologies. This concept of "Two-Eyed Seeing" is illustrated as central to engaging youth in the community and attending to their mental health needs and wellness. The ACCESS OM Eskasoni First Nation Youth Space acts as a central location for the site team and its activities, which expand into the rest of the community to facilitate early identification of youth in need. Rapid access to care is promoted via barrier-free availability through a central intake crisis and referral centre, and ease of contact through social media and other modalities. Youth are given the choice between standard Western mental health services, or Indigenous methods of improving well-being, or a combination of the two. The ACCESS OM framework has shown early results of being a positive addition to the Eskasoni community. Local leadership and community buy-in are identified as key factors to success. Further exploration, research, and evaluation of this transformation is ongoing. Successful implementation of this model in Eskasoni could act as a model for youth mental health programmes in other First Nations across Canada.
Identifiants
pubmed: 31243913
doi: 10.1111/eip.12817
pmc: PMC6771551
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
42-47Subventions
Organisme : CIHR
Pays : Canada
Organisme : Graham Boeckh Foundation
Pays : International
Informations de copyright
© 2019 The Authors Early Intervention in Psychiatry Published by John Wiley & Sons Australia, Ltd.
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